These are 2 legislated official languages for the entire country where the USA has one, English. That means all government services etc must be in both languages even down to street signs although Toronto (a 'designated area')does not comply. Most of our larger hospitals, clinics etc. are multilingual as well. Does the Cal. government legislate the use of multiple languages in your health system or is it a matter of need, choice or economics?
On another note, so sorry to hear of your loss Hariette. We remember Miss Kitty stopping in on our patio to say 'Hi' on her way down your stairs and are certainly grateful she wasn't harmed as well. Keep her close. Hope they catch the creep(s).